Henky Henky
Department Of Forensic Medicine Udayana University Medical School/Sanglah Hospital Denpasar Bali Indonesia

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Journal : INDONESIAN JOURNAL OF LEGAL AND FORENSIC SCIENCES

Identifikasi Korban Bencana Massal: Praktik DVI Antara Teori dan Kenyataan Henky -; Oktavinda Safitry
Indonesian Journal of Legal and Forensic Sciences (IJLFS) Vol 2 (2012): Indonesian Journal of Legal and Forensic Sciences
Publisher : Penerbit, sejak 2012 : Asosiasi Ilmu Forensik Indonesia dan UPT Lab. Forensik Sain dan Kriminilogi - Universitas Udayana

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Abstract

The role of forensic pathologist in mass disaster is to identify the dead victims. Identification procedure refers tothe DVI (Disaster Victim Identification) Interpol guideline. DVI process consists of 5 phases, The Scene, PostMortem Examination, Ante Mortem Information Retrieval, Reconciliation and Debriefing. Post Mortem (PM)and Ante Mortem (AM) data that are collected include finger prints, dental records and DNA as PrimaryIdentifiers and also medical records and property as a Secondary Identifiers. AM data populated into the yellowform and PM data into a pink form. In the reconciliation phase, someone stated identified, by comparing theAM and PM data. At least there is a match between one Primary Identifiers or two Secondary Identifiers.Theoretically, the five phase of DVI should be done according to DVI standard in every case ofdisaster. In fact, many obstacles and constraints are met in the field to implement the DVI guidelines. A lot ofcorpses, limited number of storages, pathologist and time, family authority, as well as lack of coordination, risemany problems in implementing DVI procedures consistently. This article will discuss the various constraintsand problems that encounters when carrying out DVI guidelines in the case of RIMBA III ship sinking, Herculesplane crash at Magetan and Earthquakes at Padang.
PROSTATE-SPECIFIC ANTIGEN (PSA) RAPID DIAGNOSTIC TESTS COMPARED WITH SRY GENE FOR DETECTING MALE COMPONENT IN VAGINAL SWABS - Henky; I G. K. N. Arijana
Indonesian Journal of Legal and Forensic Sciences (IJLFS) Vol 2 (2012): Indonesian Journal of Legal and Forensic Sciences
Publisher : Penerbit, sejak 2012 : Asosiasi Ilmu Forensik Indonesia dan UPT Lab. Forensik Sain dan Kriminilogi - Universitas Udayana

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Abstract

Proving intercourse signs on sexual assault victims still become a major challenge for forensic physicians in Indonesia.  Many cases unsolved due to minimal evidences. One of the difficulties is evincing ejaculation in vagina.  Most of forensic laboratories only depend on spermatozoa examination to find ejaculate.  Surely, it is difficult to find spermatozoa if the perpetrators are azoospermia.  Moreover, this examination may give false negative results as well as low sensitivity, especially in women who have washed their vagina. However, nowadays, there is a rapid test to detect PSA in seminal fluid which is very practical, quick, and inexpensive.  This study will show the performance of PSA rapid test to detect male component in vaginal swabs taken from sexually assaulted victims. A cross sectional study was conducted between October 2012 and December 2012.  Sixteen vaginal swabs had been collected consecutively from raped women who were examined in gynecologic emergency ward Sanglah Public Hospital.  The vaginal swabs were tested with PSA rapid test and extracted for SRY gene analysis as a gold standard to confirm male genetic material.  The result of this study shows that PSA rapid test diagnostic values to detect male component in vaginal swabs are sensitivity 84.62%, specificity 100%, PPV 100%, NPV 60%, LR (+) 100%, LR (-) ~, and accuracy 87.5%.  These values are better than spermatozoa examination. Based on this study, PSA rapid test is highly recommended to take the place of spermatozoa examination as a new standard for proving sexual intercourse in Indonesia.